Piedmont Cosmetic Surgery and Dermatology Center, PA

NPI #1356440663 in Winston Salem, North Carolina

Provider Information

NPI Number: 1356440663
Entity Type: Organization
Organization Name: Piedmont Cosmetic Surgery and Dermatology Center, PA
Primary Specialty: Specialist
Enumeration Date: Sep 22, 2006
Last Updated: Jan 7, 2010

Practice Location

Address: 765 HIGHLAND OAKS DR
Address 2: SUITE 100
City: Winston Salem
State: North Carolina
ZIP Code: 27103-7101
Phone: (336) 760-4004

Authorized Official

Name: MRS. RENEE A SHANDRA
Title: INSURANCE/BILLING
Phone: (336) 760-4004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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